Statement on DRAFT Standard of Practice for Performing Office Based Procedures

Is CPSM banning circumcisions, including Jewish ritual circumcisions?

No, the College of Physicians and Surgeons of Manitoba (CPSM) is not banning male circumcisions, nor is it something we could do.

The concerning document is the DRAFT Standard of Practice for Performing Office Based Procedures. It focuses on minimizing risks associated with specific procedures performed in medical offices (i.e. office-based procedures) and establishing professional standards for communication surrounding these procedures.  Among these procedures are cosmetic and aesthetic procedures, including Botox and fillers, vasectomies, laser energy and light-based therapies, and platelet-rich plasma therapy.

We recognize that as currently written, the standard would implicate a practicing CPSM member[1] performing a male circumcision outside of an appropriate medical facility. That was not the intention in drafting the standard. 

All Standards of Practice[2] are released to the public for consultation and CPSM appreciates all the feedback received and concerns raised regarding this standard.

 

Will CPSM change the Standard of Practice?

The standard will be amended. The standard will not infringe on any human or religious rights and freedoms whatsoever. The role of CPSM is to protect the safety of the public, and we will continue to strive to achieve this through appropriate regulation of the medical profession.

At a minimum, the working group will add an exemption in the standard for male circumcision performed in a religious ceremony or tradition, particularly respecting low-risk neonatal circumcisions.

We are grateful for the outreach from the public in response to this standard. As with all of our public consultations, we value the feedback and will use it to improve the Standard of Practice. 

 

Who developed the Standard? Was the Jewish community consulted?

CPSM established a working group in 2020, tasked with developing a new standard of practice for performing specific procedures in office-based practice settings, including male circumcisions. The working group produced the draft Standard of Practice for Performing Office Based Procedures which was released for public consultation on June 15, 2021. The deadline for feedback is July 16, 2021.  

The working group did not consult with the Jewish community in its early development of the draft Standard; however, that is precisely the purpose of the current public consultation, and we are grateful for the feedback received.

The Working Group that developed the standard included family physicians and specialists who perform the procedures, family physicians who do not perform the procedures, and a public representative. The following areas of practice were also consulted:

         Family medicine:

  • dermatology
  • aesthetics
  •  vasectomy/circumcision
  •  anesthesiology
  •  platelet-rich plasma

     Specialties:

  • Plastic surgery
  • Dermatology
  • Hematology

The College of Registered Nurses of Manitoba was also consulted.

 

What happens after the consultation? When will the standard be finalized? 

Understanding how various perspectives may interpret the standard is precisely why our process for developing new Standards of Practice includes a public consultation period. CPSM is appreciative of all the feedback received.

All comments will be compiled and shared with the working group. The group will review every single comment and consider the necessary amendments.

This process is in place for all CPSM Standards of Practice, many of which have significantly improved after taking public feedback into account. It is expected the standard will be in place this year.  

We encourage the public to continue providing their feedback on this and other current and future Standards of Practice, available on this page of our website.

 



1CPSM members include physicians, medical students, residents, physician assistants, and clinical assistants with a Certificate of Practice in Manitoba.
 
2Standards of Practice set out the requirements related to specific aspects of the quality of medicine practice. These are the rules all physicians in Manitoba must adhere to.